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California Advancing and Innovating Medi-Cal (CalAIM) (formerly “Medi-Cal 2020”)

State: California
Waiver Authority:
1115
Status: Pending

Waiver Dates

Approval: 10/16/2024
Effective: 09/01/2005
Expiration: 12/31/2026

Supporting Documents

Approved Application(s) and Related Documents

Date Title
01/17/2025 Demonstration Approval – Technical Corrections with Attachments C and AA (PDF, 28.72 MB)

Administrative Record

Date Title
01/08/2025 Protocol Approval Letter (PDF, 4.5 MB)
12/30/2024 Traditional Health Care Practice Attestation (PDF, 164.13 KB)
12/23/2024 State Acceptance Letter – CAA and HRSN Amendment (PDF, 132.06 KB)
12/16/2024 CAA and HRSN Amendment Approval (PDF, 4.44 MB)
12/12/2024 DSHP List and Claiming Protocol Approval (PDF, 202.52 KB)
11/20/2024 SUD Part A Metrics: January – March 2024 (XLSX, 501.78 KB)
11/20/2024 SUD Part B Narrative: January – March 2024 (PDF, 416.3 KB)
11/15/2024 State Acceptance Letter - Traditional Health Care Practice Amendment (PDF, 144.63 KB)
10/21/2024 Quarterly Monitoring Report April 1, 2024 – June 30, 2024 (PDF, 1.51 MB)
10/16/2024 CMS Approval – Traditional Health Care Practices Amendment Approval (PDF, 2.01 MB)
10/02/2024 Reentry Initiative Implementation Plan Approval (PDF, 737.64 KB)
08/27/2024 SUD Part A Metrics: October – December 2023 (XLSX, 502.03 KB)
08/27/2024 SUD Part B Narrative: October – December 2023 (PDF, 389.98 KB)
07/26/2024 Quarterly Monitoring Report January 1, 2024 – March 31, 2024 (PDF, 1.01 MB)
06/26/2024 Annual Monitoring Report January 1, 2023 – December 31, 2023 (PDF, 1.82 MB)
06/25/2024 SUD Part A Metrics: April – June 2023 (XLSX, 518.59 KB)
06/25/2024 SUD Part A Metrics: July – September 2023 (XLSX, 516.07 KB)
06/25/2024 SUD Part B Narrative: April – June 2023 (PDF, 354.09 KB)
06/25/2024 SUD Part B Narrative: July – September 2023 (PDF, 373.71 KB)
05/23/2024 CMS Approved COVID Vaccine Administration Final Report (PDF, 348.07 KB)
03/26/2024 CMS Approved Interim Evaluation Reports – WPC and CCS (PDF, 16.64 MB)
03/06/2024 CMS Approval – Attachment BB, Provider Payment Increase Attestation Table (PDF, 5.03 MB)
03/06/2024 Reentry Implementation Plan Approval (PDF, 4.62 MB)
12/28/2023 SUD Part A Metrics (July 1, 2023 – September 30, 2023) (XLSX, 501.39 KB)
12/28/2023 SUD Part B Narrative (July 1, 2023 – September 30, 2023) (PDF, 354.17 KB)
12/20/2023 CMS Approved Summative Evaluation Reports (PDF, 14.8 MB)
12/20/2023 GPP Health Equity Monitoring Metrics Protocol Approval (PDF, 3.14 MB)
12/19/2023 Reentry Demonstration Initiative Reinvestment Plan Approval (PDF, 2.4 MB)
11/27/2023 Quarterly Report July 2023-September 2023 (PDF, 1.69 MB)
10/27/2023 CMS Completeness Letter (PDF, 199.9 KB)
10/20/2023 Transitional Rent Services Amendment (PDF, 7.59 MB) View Comments
08/29/2023 SUD Part A Metrics (April 1, 2023 – June 30, 2023) (XLSX, 501.16 KB)
08/29/2023 SUD Part B Narrative (April 1, 2023 – June 30, 2023) (PDF, 390.14 KB)
08/28/2023 California Quarterly Report April 2023-June 2023 (PDF, 1.11 MB)
08/23/2023 Managed Care Model Amendment Approval (PDF, 2.15 MB)
08/09/2023 COVID Attachment FF Evaluation Design (PDF, 607.89 KB)
06/28/2023 Attachment K Approval (PDF, 3.36 MB)
06/26/2023 SUD/CM Evaluation Design (PDF, 1.25 MB)
06/26/2023 SUD/CM Evaluation Design (PDF, 4.33 MB)
06/22/2023 Technical Corrections and PATH Protocols Approval (PDF, 1.79 MB)
05/30/2023 Quarterly Report January 2023-March 2023 (PDF, 967.51 KB)
05/30/2023 SUD Part A Metrics (January 1, 2023 – March 31, 2023) (XLSX, 499.97 KB)
05/30/2023 SUD Part B Narrative (January 1, 2023 – March 31, 2023) (PDF, 358.28 KB)
05/22/2023 CMS SUD Monitoring Protocol Approval (PDF, 3.61 MB)
05/22/2023 SUD Monitoring Protocol Part A (XLSX, 176.37 KB)
05/22/2023 SUD Monitoring Protocol Part B (PDF, 1.22 MB)
04/21/2023 CMS Approved Risk Mitigation Evaluation Design (PDF, 383.05 KB)
03/29/2023 State Annual Report January 1, 2022 - December 31, 2022 (PDF, 1.76 MB)
03/27/2023 State Acceptance Letter – COVID-19 CHIP Flexibilities (PDF, 250.94 KB)
03/17/2023 CMS COVID-19 Children Aging out of CHIP Approval (PDF, 308.92 KB)
02/23/2023 State Acceptance Letter (PDF, 183.32 KB)
02/16/2023 Global Payment Program and Disproportionate Share Hospital Protocol Approval (PDF, 1.69 MB)
01/26/2023 Reentry Demonstration Initiative Amendment Approval (PDF, 1.89 MB)
12/29/2022 Quarterly Budget Neutrality Report July – September 2022 (XLSM, 746.83 KB)
12/27/2022 Dental Transformation Initiative Program Year 6 - Final Report (01/01/2021- 12/31/2021 (PDF, 679.14 KB)
12/19/2022 Contingency Management and CBAS Protocols Approval (PDF, 1.73 MB)
11/21/2022 State Quarterly Drug Medi-Cal Organized Delivery System (DMC-ODS) Data - July 2022-September 2022 (PDF, 151.46 KB)
11/21/2022 State Quarterly Report - July 2022-September 2022 (PDF, 837.3 KB)
11/18/2022 CMS Completeness Letter (PDF, 239.29 KB)
11/18/2022 Managed Care Model Changes Amendment (PDF, 659.85 KB) View Comments
11/18/2022 Quarterly Budget Neutrality Report April – June 2022 (XLSM, 776.08 KB)
11/18/2022 Quarterly Budget Neutrality Report January - March 2022 (XLSM, 776.06 KB)
09/08/2022 COVID-19 Public Health Emergency Appendix K Update Approval (PDF, 842.29 KB)
08/09/2022 State Quarterly Drug Medi-Cal Organized Delivery System (DMC-ODS) Data - April 2022-June 2022 (PDF, 148.1 KB)
08/09/2022 State Quarterly Report - April 2022 – June 2022 (PDF, 796.11 KB)
07/06/2022 State Acceptance Letter- Asset Test Amendment (PDF, 219.33 KB)
06/29/2022 Asset Test Amendment Approval (PDF, 1.41 MB)
06/28/2022 Dental Transformation Initiative Program Year 6 – Preliminary Final Report (01/01/2021- 12/31/2021) (PDF, 652.64 KB)
06/03/2022 State Quarterly Report - January 2022 – March 2022 (PDF, 733.01 KB)
05/10/2022 Annual and Close Out Report - January 2021-December 2021 (PDF, 1.33 MB)
04/22/2022 SUD Summative Evaluation Report (PDF, 8.67 MB)
04/13/2022 CMS Completeness Letter – Asset Test Amendment (PDF, 207.45 KB)
04/06/2022 Asset Test Amendment (PDF, 341.31 KB) View Comments
03/04/2022 PRIME Final Summative Evaluation Report (PDF, 4.08 MB)
02/24/2022 State Quarterly Report Oct 2021–Dec 2021 (PDF, 657.94 KB)
02/24/2022 State Quarterly Report Oct 2021–Dec 2021 Cover Letter (PDF, 258.25 KB)
02/24/2022 State Quarterly Report Oct 2021–Dec 2021 Drug Medi-Cal Organized Delivery System DMC-ODS Data
02/07/2022 State Acceptance of Managed Care Risk Mitigation COVID-19 amendment (PDF, 238.45 KB)
01/28/2022 Risk Mitigation Approval (PDF, 220.26 KB)
01/27/2022 State Acceptance Letter (PDF, 216.79 KB)
01/14/2022 COVID-19 Public Health Emergency Amendment Approval (PDF, 264.26 KB)
12/29/2021 CMS Extension Approval (PDF, 1.49 MB)
12/29/2021 Dental Transformation Initiative Program Year 5 - Final Report (01/01/2020 - 12/31/2020) (PDF, 703.7 KB)
11/16/2021 California Quarterly Report July 2021 - September 2021 (PDF, 1.01 MB)
10/25/2021 California Annual Report July 2020 – June 2021 (PDF, 1.43 MB)
07/20/2021 Quarterly Budget Neutrality Report October 2020 - December 2020 (XLSM, 1.04 MB)
07/15/2021 California Renewal Completeness Letter (PDF, 134.09 KB)
07/15/2021 Medi-Cal 2020/CAL-AIM (DHCS) Renewal Request (PDF, 5.77 MB) View Comments
05/27/2021 Quarterly Report January 2021 - March 2021 (PDF, 959.94 KB)
05/06/2021 Annual Monitoring Report July 1, 2019 - June 30, 2020 (PDF, 774.07 KB)
04/27/2021 Quarterly Monitoring Report October 1, 2020 - December 31, 2020 (ZIP, 968.91 KB)
04/05/2021 CMS Approved STC Modification (PDF, 4.6 MB)
03/01/2021 CMS Approved STC Modification (PDF, 337.12 KB)
02/12/2021 CMS Letter to State (PDF, 38.92 KB)
12/29/2020 CMS Temporary Extension (PDF, 4.37 MB)
12/23/2020 Dental Transformation Initiative Program Year 4 - Final Report (01/01/2019 – 12/31/2019) (PDF, 604.08 KB)
11/30/2020 Quarterly Monitoring Report July 1, 2020 - September 30, 2020 (ZIP, 1.36 MB)
10/09/2020 CMS Approval - Appendix K Update (PDF, 290.6 KB)
10/02/2020 Extension Request CMS Completeness Determination Letter (PDF, 422.53 KB)
10/02/2020 Medi-Cal 2020 12 Extension Request (PDF, 597.33 KB) View Comments
09/25/2020 State Acceptance Letter (PDF, 237.02 KB)
09/11/2020 CMS Accepted Interim Evaluation Report - Out-of-state Former Foster Youth (PDF, 603.2 KB)
08/03/2020 CMS Amendment Approval (PDF, 4.13 MB)
07/27/2020 CMS COVID-19 Approval (PDF, 408.56 KB)
05/28/2020 State Quarterly Report – January - March 2020 (PDF, 5.06 MB)
04/06/2020 State COVID-19 Application (PDF, 76.81 KB)
03/18/2020 GPP and PACE Amendment Completeness Determination Letter (PDF, 117.82 KB)
03/02/2020 Global Payment Program Amendment (PDF, 1.87 MB) View Comments
02/28/2020 State Quarterly Report – October - December 2019 (PDF, 5.56 MB)
02/25/2020 CMS Approval – CA PRIME Final Interim Evaluation Report (PDF, 7.73 MB)
02/25/2020 CMS Approval – DTI Interim Evaluation Report (PDF, 1.36 MB)
02/25/2020 CMS Approval – SPD Interim Evaluation Report (PDF, 3.15 MB)
01/22/2020 California- PRIME Program Final Interim Evaluation Report (PDF, 6.68 MB)
12/19/2019 Medi-Cal 2020 Dental Transformation Initiative Program Year 3 - Final Report (PDF, 1.52 MB)
11/27/2019 Medi-Cal 2020 DY15 Q1 Progress Report (PDF, 1.24 MB)
11/19/2019 CMS Technical Correction (PDF, 4.36 MB)
11/01/2019 Annual Monitoring Report July 1, 2018 – June 30, 2019 (PDF, 1.61 MB)
09/18/2019 Medi-Cal 2020 DY14 Q3 Progress Report (PDF, 518.57 KB)
04/29/2019 Bridge to Reform Safety Net Care Pool (SNCP) Re-Allocation Letter (PDF, 161.37 KB)
02/28/2019 Medi-Cal 2020 DY14 Q2 Progress Report (PDF, 3.03 MB)
01/18/2019 Medi-Cal 2020 DY14 Q1 Progress Report (PDF, 484.33 KB)
10/17/2018 Annual Monitoring Report July 1, 2017 - June 30, 2018 (ZIP, 622.2 KB)
09/19/2018 California Access Assessment Design (PDF, 525.89 KB)
08/01/2018 Annual Monitoring Report July 1, 2016 - June 30, 2017 (PDF, 603.35 KB)
06/07/2018 Technical Correction Attachment N - Capitated Benefits Provided in Managed Care (PDF, 4.14 MB)
05/24/2018 Medi-Cal 2020 DY 13 Q3 Progress Report (PDF, 1.92 MB)
04/05/2018 Approved Evaluation Design for WPC Pilots Medi-Cal 2020 Demonstration (PDF, 2.69 MB)
02/27/2018 Medi-Cal 2020 DY 13 Q2 Progress Report (PDF, 720.89 KB)
12/19/2017 Approved HHP Amendment Medi-Cal 2020 Demonstration (12/19/17) (PDF, 2.83 MB)
12/15/2017 Medi-Cal 2020 Demonstration Amend Dec 15, 2017 (PDF, 3.81 MB)
12/07/2017 Demonstration Approval-Amended (PDF, 2.37 MB)
11/28/2017 Amendment 18 Health Home Amendment Request (PDF, 1.77 MB) View Comments
11/28/2017 Medi-Cal 2020 DY 13 Q1 Progress Report (PDF, 668.93 KB)
11/03/2017 Approved CCS and SPD Evaluation Designs letter (11/3/2017) (PDF, 109.8 KB)
11/03/2017 California Children’s Services (CCS) Program Approved Evaluation Design (11/3/2017) (PDF, 98.06 KB)
11/03/2017 California Seniors and Persons with Disabilities (SPDs) Program Approved Evaluation Design (PDF, 72.42 KB)
10/26/2017 Updated DMC-ODS CPE Protocol (10/26/2017) (PDF, 152.85 KB)
10/25/2017 California Annual Report DY 12- July 1, 2016- June 30, 2017 (PDF, 629 KB)
09/12/2017 Medi-Cal Dental Transformation Final Evaluation Design (PDF, 555.03 KB)
09/08/2017 State Acceptance Letter – Former Foster Care Youth Amendment (9/8/2017) (PDF, 131.9 KB)
08/24/2017 Medi-Cal 2020 DY 12 Q4 Progress Report (PDF, 470.34 KB)
08/23/2017 Medi-Cal 2020 PRIME Final Evaluation Design (PDF, 529.43 KB)
08/18/2017 CMS Approval Letter – Former Foster Care Youth Amendment (PDF, 559.45 KB)
07/26/2017 Approved Global Payment Program (GPP) Evaluation Design (PDF, 332.9 KB)
06/05/2017 State Application - Former Foster Care Youth Amendment (PDF, 203.69 KB) View Comments
06/01/2017 CMS Approved Technical Corrections - June 2017 (PDF, 3.36 MB)
06/01/2017 CMS Completeness Letter – Foster Care Youth Amendment (06/01/2017) (PDF, 1.21 MB)
06/01/2017 Medi-Cal 2020 Uncompensated Care Report #2 (PDF, 1.35 MB)
05/30/2017 Medi-Cal 2020 DY 12 Q3 Progress Report (PDF, 452.6 KB)
05/24/2017 California Letter of Withdrawal for MCAP Amendment (PDF, 66.82 KB)
03/16/2017 CA Bridge to Reform Final DSRIP Evaluation Report (3/16/2017) (PDF, 38.22 KB)
03/16/2017 CMS Review of CCS SPD DRI GPP Evaluation Design (3/16/2017) (PDF, 492.37 KB)
03/02/2017 Amendment 19 – Completeness Letter (03/02/2017) (PDF, 72.9 KB)
03/02/2017 Amendment 19- Medi-Cal Access Program Amendment (PDF, 1.18 MB) View Comments
03/01/2017 Medi-Cal 2020 DY 12 Q2 Progress Report (PDF, 1.61 MB)
01/19/2017 Demonstration Approval (1/19/2017) (PDF, 3.35 MB)
01/06/2017 CA Acceptance Letter (1/6/17) (PDF, 1.38 MB)
12/08/2016 Demonstration Approval (12/08/2016) (PDF, 4.38 MB)
11/28/2016 Medi-Cal 2020 DY 12 Q1 Progress Report (PDF, 547.44 KB)
11/23/2016 Amendment 18 – Completeness Letter (11/23/2016) (PDF, 92 KB)
11/23/2016 CMS Review of WPC Applications (11/23/2016) (PDF, 40.91 KB)
11/22/2016 Demonstration Approval (11/22/2016) (PDF, 3.62 MB)
11/18/2016 CMS Feedback on PRIME Draft Evaluation Design (11/18/2016) (PDF, 62.7 KB)
11/18/2016 PRIME Draft Evaluation Design (11/18/2016) (PDF, 258.17 KB)
11/10/2016 Medi-Cal 2020 Amendment #18 Request- Health Homes Amendment (PDF, 243.46 KB)
11/09/2016 CMS Approval of DSH Coordination Methodology and CBAS Program Integrity (11/09/2016) (PDF, 94.49 KB)
11/07/2016 WPC Draft Evaluation Design (11/7/2016) (PDF, 2.11 MB)
10/28/2016 Annual Report – Demo Year 11 (11/1/15-6/30/16) (PDF, 3.76 MB)
10/21/2016 CMS Approval of Updated Attachment MM - WPC Pilot Requirements and Metrics (PDF, 205.86 KB)
10/21/2016 CMS Review of WPC Applications (10/21/2016) (PDF, 42.09 KB)
09/27/2016 Medi-Cal 2020 California Children Service Pilot Update (PDF, 109.6 KB)
09/19/2016 CCS DTI GPP and SPD Draft Evaluation Designs (9/19/2016) (PDF, 5.45 MB)
09/01/2016 Amendment 17 – Dental Transformation Initiative Program Amendment (09/01/2016) (PDF, 6.62 MB) View Comments
08/29/2016 Amendment 17 – Completeness Letter (PDF, 73.4 KB)
08/29/2016 Medi-Cal 2020 DY 11 Q2 Progress Report (08/29/2016) (PDF, 917.92 KB)
08/29/2016 PRIME Draft Evaluation Design (8/29/2016) (PDF, 566.99 KB)
07/14/2016 CMS Approval of CA Uncompensated Care Pool Amounts for Years 2-5 (07/14/2016) (PDF, 53.76 KB)
06/23/2016 Amendment 16 - Whole Person Care Tribal Entity Amendment (06/23/2016) (PDF, 244.88 KB) View Comments
06/23/2016 Amendment 16 – Completeness Letter (06/23/2016) (PDF, 65.81 KB)
06/20/2016 CMS Approval of DMC-ODS Evaluation Design (06/20/2016) (PDF, 1.86 MB)
06/20/2016 Drug Medi-Cal Organized Delivery System Evaluation Design (06/20/2016) (PDF, 1.89 MB)
06/17/2016 CMS Approval of DMC-ODS CPE Protocol (06/17/2016) (PDF, 69.51 KB)
05/31/2016 Medi-Cal 2020 DY 11 Q1 Progress Report (05/31/2016) (PDF, 1.67 MB)
05/31/2016 Medi-Cal 2020 PRIME DY 11 Q1 Quarterly Report (PDF, 136.87 KB)
05/15/2016 CA Uncompensated Care Pool – Report 1 (5/15/2016) (PDF, 3.32 MB)
05/13/2016 CA WPC Protocol and Application Approval Letter (05/13/2016) (PDF, 642.74 KB)
03/21/2016 CA GPP Protocols Approval Letter (03/21/2016) (PDF, 221.01 KB)
03/02/2016 CMS Approval of PRIME Protocols (03/02/2016) (PDF, 883.31 KB)
03/01/2016 Annual Report - Demo Year 10 (03/01/2016) (PDF, 1023.85 KB)
02/24/2016 CMS Approval - Medi-Cal Drug Delivery System County Implementation Plan (02/24/2016) (PDF, 147.28 KB)
12/30/2015 CMS Demonstration Extension Approval – December 2015 (PDF, 2.1 MB)
12/24/2015 Quarter Report – Demo Year 10 (7/1/15-10/31/15) (PDF, 581.33 KB)
12/20/2015 CMS Demonstration Extension Approval – December 2015 (12/20/2015) (PDF, 2.1 MB)
10/31/2015 CMS Agreement in Principle (10/31/2015) (PDF, 3.94 MB)
10/26/2015 CMS Technical Corrections Approval (10/26/2015) (PDF, 4.61 MB)
09/10/2015 State Acceptance Letter – Drug Medi-Cal Organized Delivery System (PDF, 416.57 KB)
08/28/2015 CA Acceptance Letter (08/28/2015) (PDF, 66.77 KB)
08/21/2015 Quarter Report – Demo Year 10 (4/1/15-6/30/15) (PDF, 424.1 KB)
08/13/2015 August 2015 CMS Amendment Approval (08/13/2015) (PDF, 4.58 MB)
08/13/2015 Fact Sheet (PDF, 46.03 KB)
07/31/2015 Demonstration Approval (07/31/2015) (PDF, 4.48 MB)
05/29/2015 Quarter Report – Demo Year 10 (1/1/15-3/31/15) (PDF, 444.7 KB)
04/10/2015 Completeness Letter (04/10/2015) (PDF, 32.63 KB)
03/27/2015 California 2015 Extension Request (03/27/2015) (PDF, 7.89 MB) View Comments
02/27/2015 Quarter Report – Demo Year 10 (10/1/14-12/31/14) (PDF, 742.81 KB)
01/07/2015 DSRIP Midpoint Assessment & CMS Comments (01/07/2015) (PDF, 2.85 MB)
12/31/2014 Bridge to Reform Quarterly Report Oct-Dec 2014 (12/31/2014) (PDF, 229.95 KB)
12/30/2014 CMS Approval Amendment 13 – Tribal Uncompensated Care (12/30/2014) (PDF, 6.94 MB)
12/09/2014 Quarter Report – Demo Year 10 (7/1/14-9/30/14) (PDF, 533.13 KB)
12/05/2014 CRIHB Completeness Letter (12/05/2014) (PDF, 64.74 KB)
12/05/2014 SUD Completeness Letter (12/05/2014) (PDF, 64.52 KB)
12/04/2014 Pending Application - SUD (12/05/2014) (PDF, 624.58 KB) View Comments
11/28/2014 CMS Approval Amendment 12 – CBAS & SPD Amendment (11/28/2014) (PDF, 8.71 MB)
11/24/2014 CRIHB Application (11/24/2014) (PDF, 486.17 KB)
10/31/2014 Annual Report – Demo Year 9 (7/1/13-6/30/14) (PDF, 811.64 KB)
10/29/2014 Temporary Extension Letter (10/29/2014) (PDF, 79.78 KB)
09/12/2014 Completeness Letter (09/12/2014) (PDF, 91.55 KB)
09/03/2014 Pending Application – Full Scope Medical Coverage for Low Income Pregnant Women (PDF, 526.37 KB) View Comments
08/29/2014 Quarter Report – Demo Year 9 (4/1/14-6/30/14) (PDF, 453.89 KB)
08/13/2014 Proposal to Amend (08/13/2014) (PDF, 76.25 KB)
08/12/2014 Letter to Amend (08/12/2014) (PDF, 165.95 KB)
08/11/2014 Low Income Health Program Evaluation Design (08/11/2014) (PDF, 10.61 MB)
08/01/2014 Excerpts of current SPD STCs (08/01/2014) (PDF, 620.32 KB)
08/01/2014 Letter to Ammend (08/01/2014) (PDF, 229.04 KB)
08/01/2014 Temporary Extension Letter (08/01/2014) (PDF, 80.28 KB)
07/09/2014 Coordinated Care Initiative (CCI) Evaluation Design (07/09/2014) (PDF, 763.2 KB)
06/13/2014 Letter to Ammend (06/13/2014) (PDF, 70.73 KB)
06/05/2014 CBAS Amendment Standards of Participation (06/05/2014) (PDF, 116.14 KB)
05/29/2014 Quarter Report – Demo Year 9 (1/1/14-3/31/14) (PDF, 485.9 KB)
05/21/2014 Approval Letter (05/21/2014) (PDF, 190.58 KB)
05/21/2014 CMS Technical Corrections - Amendment 11 Coordinated Care Initiative (05/21/2014) (PDF, 8.65 MB)
03/25/2014 Delivery System Reform Incentive Payment Evaluation Design (03/25/2014) (PDF, 466.09 KB)
03/19/2014 CMS Approved Amendment 11 – Coordinated Care Initiative (03/19/2014) (PDF, 4.14 MB)
02/28/2014 Quarter Report – Demo Year 9 (10/1/13-12/31/13) (PDF, 422.95 KB)
01/01/2014 Special Terms and Conditions (Amended 01/01/14) (PDF, 234.03 KB)
12/24/2013 Approval to Amend Letter (12/24/13) (PDF, 229.52 KB)
11/27/2013 Quarter Report – Demo Year 9 (7/1/13-9/30/13) (PDF, 436.31 KB)
10/30/2013 Annual Report – Demo Year 8 (7/1/12-6/30/13) (PDF, 1.55 MB)
10/30/2013 Proposal to Amend Letter (10/30/13) (PDF, 206.02 KB)
09/01/2013 Special Terms and Conditions (09/1/13) (PDF, 1.24 MB)
08/30/2013 Quarter Report – Demo Year 8 (4/1/13-6/30/13) (PDF, 211.2 KB)
08/29/2013 CMS Approval Amendment 9 - Expansion of Medi-Cal Managed Care (08/29/13) (PDF, 3.6 MB)
06/28/2013 CMS Approved Amendment 8 – Safety Net Care Uncompensated Care Pool (06/28/2013) (PDF, 3.59 MB)
06/18/2013 Proposal to Amend Letter (06/18/13) (PDF, 197.86 KB)
06/06/2013 Quarter Report – Demo Year 8 (1/1/13-3/31/13) (PDF, 404.76 KB)
04/26/2013 Letter to Amend (04/26/2013) (PDF, 870.07 KB)
04/05/2013 CMS Approval Amendment 7 - Tribal Uncompensated Care (04/05/13) (PDF, 2.8 MB)
01/16/2013 California Children’s Services Evaluation Design (01/16/2013) (PDF, 2.39 MB)
01/01/2013 Special Terms and Conditions (Amended 01/01/13) (PDF, 3.35 MB)
12/31/2012 Approval to Amend Letter (12/31/12) (PDF, 638.23 KB)
10/30/2012 Expenditure Authority (10/30/12-10/31/2015) (PDF, 175.43 KB)
10/30/2012 Proposal to Amend Letter (10/30/12) (PDF, 296.12 KB)
08/10/2012 Letter Requesting Approval (08/10/12) (PDF, 244.76 KB)
06/29/2012 1115 Waiver Total 1115 (PDF, 175.25 KB)
06/28/2012 Approval to Amend Letter (06/28/12) (PDF, 343.29 KB)
06/22/2012 Draft Amendment Centers For Medicare & Medicaid Services Specials And Conditions (06/22/12) (PDF, 235.36 KB)
06/22/2012 Draft Amendment Centers For Medicare & Medicaid Services Specials And Conditions (06/22/12) (PDF, 235.33 KB)
06/22/2012 Expenditure Authority (06/22/12) (PDF, 285.95 KB)
06/22/2012 Expenditure Authority (06/22/12) (PDF, 285.96 KB)
06/22/2012 Proposal to Amend Letter (06/22/12) (PDF, 371.69 KB)
06/22/2012 Proposal to Amend Letter (06/22/12) (PDF, 371.68 KB)
05/01/2012 Revision Letter (05/1/12) (PDF, 232.69 KB)
05/01/2012 Submission Letter for Pending Amendment (05/01/12) (PDF, 232.71 KB)
04/11/2012 Section 1115 Demo Amendment Proposal (Submitted 04/11/12) (PDF, 341.54 KB)
04/11/2012 Section 115 Demo Amendment Proposal (Submitted 04/11/12) (PDF, 341.52 KB)
04/11/2012 Technical Amendment Request for STCs (PDF, 1.32 MB)
04/11/2012 Technical Amendment Request for STCs (PDF, 1.32 MB)
02/10/2012 Proposed LIHP HIV Transition Plan (02/10/12) (PDF, 324.39 KB)
02/10/2012 Proposed LIHP HIV Transition Plan (2/10/12) (PDF, 324.38 KB)
12/14/2011 Amendment Request Letter (12/14/11) (PDF, 187.61 KB)
12/14/2011 Letter to Amend (12/14/11) (PDF, 187.7 KB)
12/12/2011 Low Income Health Program Allocation Table (12/12/11) (PDF, 164.66 KB)
12/12/2011 Low Income Health Program Allocation Table (12/12/11) (PDF, 164.7 KB)
07/22/2011 Amendment Request Letter (with enclosures) (07/22/11) (PDF, 327.07 KB)
07/22/2011 Letter to Amend (07/22/11) (PDF, 327.21 KB)
11/01/2010 Attachment F (11/1/10-10/31/15) (PDF, 159.01 KB)
11/01/2010 Expenditure Authority (11/1/10-10/31/15 Amended 12/24/13) (PDF, 161.04 KB)
11/01/2010 Expenditure Authority (11/01/10-10/31/15 Amended 04/05/13) (PDF, 164.98 KB)
11/01/2010 Expenditure Authority (11/01/10-10/31/15 Amended 08/29/13) (PDF, 160.59 KB)
11/01/2010 Expenditure Authority (11/01/10-10/31/15 Amended 12/31/12) (PDF, 272.63 KB)
11/01/2010 Expenditure Authority (11/1/10-10/31/15 Amended 06/28/12) (PDF, 157.81 KB)
11/01/2010 Program Description & Context (11/1/10-10/31/15) (PDF, 185.09 KB)
11/01/2010 Special Terms and Conditions (11/01/10-10/31/15 Amended 04/05/13) (PDF, 3.98 MB)
11/01/2010 Special Terms and Conditions (11/01/10-10/31/15 Amended 12/24/13) (PDF, 2.98 MB)
11/01/2010 Special Terms and Conditions (11/1/10-10/31/15 Amended 08/29/2013) (PDF, 2.87 MB)
11/01/2010 Waiver Authority (11/01/10-10/31/15 Amended 12/31/12) (PDF, 186.3 KB)
11/01/2010 Waiver Authority (11/01/10-10/31/15 Amended 12/31/12) (PDF, 186.3 KB)
11/01/2010 Waiver Authority (11/01/10-12/31/15 Amended 12/31/12) (PDF, 186.3 KB)
11/01/2010 Waiver Authority (11/1/10-10/31/15 Amended 06/28/12) (PDF, 139.31 KB)
11/01/2010 Waiver Authority (11/1/10-10/31/15 Amended 12/24/13) (PDF, 139.75 KB)
Attachment K (PDF, 315.93 KB)
Attachment N (PDF, 177.36 KB)
Calculation of the Gap Chart (PDF, 134.67 KB)
Chart of Hospital Names (PDF, 270.39 KB)
DPH Chart (PDF, 142.35 KB)
DPH UPL Calculator (PDF, 233.97 KB)
Days Chart (PDF, 133.39 KB)
Discharge/Well Days Chart (PDF, 255.88 KB)
FFS/PHP Days Chart (PDF, 172.54 KB)
Funding Flow Chart for HIV Waiver Incentive (PDF, 235.75 KB)
Funding Flow Chart for HIV Waiver Incentive Program (PDF, 235.75 KB)
Hospital Contract Type Chart (PDF, 142.47 KB)
Hospital/Medi-Cal Paid Amounts (PDF, 240.55 KB)
Inflation Hospital Chart (PDF, 144.52 KB)
Inpatient UPL Chart (PDF, 137.83 KB)
Letter to Amend (PDF, 2.44 MB)
NDPH Inpatient UPL Summary (PDF, 134.73 KB)
New Managed Care Counties (PDF, 224.71 KB)
Pediatric/Adult Days Chart (PDF, 285.34 KB)
Projected Charges for Private Hospitals Chart (PDF, 176.73 KB)
Projected Medicare Charges Chart (PDF, 201.13 KB)
Projected Medicare Charges Chart (PDF, 266.65 KB)
Projected/Adjusted Chart (PDF, 283.43 KB)
Proposed Amendment to STC 115 (PDF, 197.88 KB)
Proposed Amendment to STC 115 (PDF, 197.92 KB)
Proposed Amendment to STC 23.b. and f. (PDF, 970.97 KB)
Proposed Amendment to STC 23.b. and f. (PDF, 970.98 KB)
Public Comments (PDF, 95.82 KB)
Safety Net Financing Division (SNFD) Amendment to the Bridge Reform Waiver (PDF, 167.56 KB)
Safety Net Financing Division (SNFD) Amendment to the Bridge to Reform Waiver (PDF, 167.61 KB)
UPL Remaining after Transitions (PDF, 199.13 KB)
UPL and Expenditure Adjustments for SPD transitions to Managed Care (PDF, 135.03 KB)
WOW SPD’s (PDF, 260.15 KB)
Waiver Outline (PDF, 190.88 KB)
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